RP-480-a (1/95)
NEW YORK STATE DEPARTMENT OF TAXATION & FINANCE
OFFICE OF REAL PROPERTY TAX SERVICES
APPLICATION FOR REAL PROPERTY TAX EXEMPTION FOR FOREST LAND
Real Property Tax Law, Section 480-a
(Read general information and instructions on back)
1.
Name and telephone no. of owner(s)
2.
Mailing address of owner(s)
___________________________________________
___________________________________________
Day No. (
) _____________________________
Evening No. (
) _________________________
E-mail (optional)
3.
Location of property (where tract is situated in two or more assessing units, separate application must be filed in each
assessing unit). This application is being filed with the assessor (s) of
City/Town/Village
Street address
Village (if any)
City/Town
County
Parcel identification no. (see tax bill or assessment roll)
School district
4.
Description of tract or parcel of land for which a forest land exemption is sought:
a. Description of tract or parcel of land (within all assessing units):
b. Total number of acres of tract or parcel land (within all assessing units):
c. Assessment roll description of tract or parcel of land in the assessing unit different from #4a. above:
d. Number of acres of tract or parcel of land within assessing unit:
e. Number of acres of tract or parcel of land within assessing unit devoted to the production of forest crops:
Sketch (see instructions)
……………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………
5.
The above described tract is committed to continued forest crop production for the next succeeding 10 years,
beginning on________________ and a copy of such commitment is filed herewith __________________
(Date)
(Date)
6.
An original certificate of approval, certificate number _____________, was issued by the Department of
Environmental Conservation on __________ and was filed with the County Clerk on ____________. (Attach copy
with initial application.)
7.
Attach a copy of the type map contained in the management plan approved by the Department of Environmental
Conservation. The type map shall include: (1) boundaries of forest land neatly drawn in ink, (2) stands delineated as
to type, site class and diameter class, (3) physical features such as buildings, roads, streams and power lines identified.
(4) north arrow, and (5) name, address and title of person who prepared the map and the date prepared.
8.
I certify that all statements made on this application are true and correct to the best of my knowledge and belief, and I
understand that the making of any false statement of material fact herein will subject me to the provisions of the Penal
Law relevant to the making and filing of false instruments.
____________________
_______________________________________________________
Date
Signature of owner(s) or representative
Clear Form